Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124541164 Individual Practitioner Male Practitioner

Dr. Johnny Donald Tice , DDS

Dentist • Hobbs, NM

Professional Overview & Biography Verified Profile Summary

Dr. Johnny Tice, DDS is a registered healthcare professional specializing in Dentist in Hobbs, NM. Practice services are available at 1710 W JOE HARVEY BLVD STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1710 W Joe Harvey Blvd Ste B

Hobbs, NM 882400821

Telephone 8889884066
Fax 8474964850
Associated Practice Facility / Clinic
🏢 Familia Dental Peoria 3 Llc Facility NPI 1386964526

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Hobbs, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Hobbs, NM (630 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NM DD4760

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003331984
Dr. Shuo Yan , DDS

Dentist - General Practice

NPI 1013434836

Doctor of Dental Surgery

Jae Ung Jung

Dentist - General Practice

NPI 1023648664
NPI 1033593587

Doctor of Dental Surgery

Oluwatosin Ayo-Okuwobi

Dentist - General Practice

NPI 1033872957
Dr. Jimmy Lau , DDS

Dentist - General Practice

NPI 1043696677

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active October 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2017

Registered at 1710 W JOE HARVEY BLVD STE B, HOBBS, NM 882400821 (Tel: 8889884066)

📍
Updated Business Mailing Address October 10, 2017

Registered at 2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 601734166 (Tel: 8889884066)

👤
Provider Name / Credentials Updated October 10, 2017

Recorded as JOHNNY TICE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2017

Dentist (License #DD4760 in NM)

NPI Profile Active July 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2017

Registered at 1710 W JOE HARVEY BLVD STE B, HOBBS, NM 882400821 (Tel: 8889884066)

📍
Updated Business Mailing Address July 21, 2017

Registered at 2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 601734166 (Tel: 8889884066)

👤
Provider Name / Credentials Updated July 21, 2017

Recorded as JOHNNY TICE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2017

Dentist (License #DD4760 in NM)

🟢
Initial NPI Registration & Enumeration July 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124541164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2017
Last Update: October 10, 2017
Sole Proprietor: No

Mailing Address

2050 E Algonquin Rd Ste 610

Schaumburg, IL 601734166

Phone: 8889884066

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.